Een goed begin

Well begun is half done. Deontic and epistemic authority in the opening phase of medical consultations Context: An effective consultation with attention to patient participation not only increases satisfaction, but also a prerequisite for shared decision making, which may improve health outcomes reduce healthcare costs. Methods: Using conversation analysis, we examined linguistic structural characteristics 41 video recorded openings specialists at large Dutch teaching hospital. The main purpose was give an overview how doctors patients interactionally shape deontic authority. Results: Conversation analysis showed different ways open their patients’ reactions this. Agenda setting occurred 6 cases, this always doctor’s agenda. Most doctors’ utterances during displayed high stance none were invited discuss expectations or goals consultation. 30 started question, itself reflects stance. During questions, stances differed. Conclusion: openings, doctor clearly charge often did explore knowledge domain patient. This can limit hinder making